. Pelvic inflammation in women. he broad ligament are sepa-rated with Mayo scissors and the fundal branch of the uterus, after itleaves the utero-ovarian anastomosis, isolated and tied. This allowsus to cone out and remove the interstitial portion of the tube withoutbleeding, and close the cornu with sutures. Unless this portion of thetube is removed, a focal infection lurks in the stump and a local peri- l62 PELVIC INFLAMMATION IN WOMEN tonitis at this point follows. This favors omental and intestinal ad-hesions and thus, by increasing the circulation, allows a persistence ofthe uterine sympt
. Pelvic inflammation in women. he broad ligament are sepa-rated with Mayo scissors and the fundal branch of the uterus, after itleaves the utero-ovarian anastomosis, isolated and tied. This allowsus to cone out and remove the interstitial portion of the tube withoutbleeding, and close the cornu with sutures. Unless this portion of thetube is removed, a focal infection lurks in the stump and a local peri- l62 PELVIC INFLAMMATION IN WOMEN tonitis at this point follows. This favors omental and intestinal ad-hesions and thus, by increasing the circulation, allows a persistence ofthe uterine symptoms. It was formerly supposed that no fluid accumulation could occur inthe tube until both the uterine and abdominal ends were sealed, but onmaking serial sections through the isthmic and interstitial portions ofthe tul^e in a large series of cases, we have found that the lumen of theuterine end never closes, and that the apparent occlusion in the isthmicand interstitial portions, w^hich allows tubal distention, is relative and. Fig. 57.—Section from Area 2 Showing Reacijon iViioux and Remote fromInterstitial Portion cf Tube. not actual. This may be explained by the fact that the folding, edema,and consequent swelling of the mucosa make the actual lumen so tortu-ous that intratubal pressure closes or practically closes the uterine one recalls for a moment the anatomy of the interstitial portion ofthe tul>e, surrounded as it is with an inner circular muscular coat, whichis continuous with the circular muscular coat of the uterus, one mustrecognize the fact that any inflammatory process of the mucosa must SALPINGITIS 163 •.ffinuV ■■„ . ;!/j, «::::s. ♦fiV VulMi excite an inflammatory reaction in the muscular structures immediatelysurrounding the mucous tube. The muscular coat, when examined microscopically, is edematous andinfiltrated with inflammatory tissue cells and plasma cells, and in mixedinfections, particularly when the streptococcus is present, ther
Size: 1730px × 1444px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, bookpublishernewyo, bookyear1921
